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Spectrum of PEX6 mutations in Zellweger syndrome spectrum patients.
[zellweger syndrome]
The
autosomal
recessive
Zellweger
syndrome
spectrum
(
ZSS
)
disorders
comprise
a
main
subgroup
of
the
peroxisome
biogenesis
disorders
.
The
ZSS
disorders
can
be
caused
by
mutations
in
any
of
12
different
currently
identified
PEX
genes
resulting
in
severe
,
often
lethal
,
multi-systemic
disorders
.
Defects
in
the
PEX
6
gene
are
the
second
most
common
cause
for
ZSS
disorders
.
The
encoded
protein
PEX
6
belongs
to
the
AAA
ATPase
family
and
contains
two
AAA
cassettes
and
an
AAA
protein
family
signature
.
The
PEX
6
gene
consists
of
17
exons
and
previously
mutations
in
the
PEX
6
gene
were
found
to
be
scattered
over
all
exons
.
We
developed
a
post-
PCR
high
-resolution
melting
(
HRM
)
curve
assay
to
scan
the
PEX
6
gene
for
potential
sequence
variations
followed
by
selective
sequencing
to
identify
these
.
We
analyzed
the
PEX
6
genes
of
75
patients
assigned
to
the
PEX
6
complementation
group
.
We
identified
a
total
of
77
different
mutations
of
which
47
mutations
have
not
been
reported
previously
,
and
14
polymorphic
variants
.
Diseases
Validation
Diseases presenting
"common cause"
symptom
achondroplasia
acute rheumatic fever
adrenomyeloneuropathy
allergic bronchopulmonary aspergillosis
alpha-thalassemia
aniridia
aromatase deficiency
benign recurrent intrahepatic cholestasis
cadasil
child syndrome
coats disease
congenital adrenal hyperplasia
congenital toxoplasmosis
cushing syndrome
erdheim-chester disease
esophageal adenocarcinoma
esophageal squamous cell carcinoma
fabry disease
familial hypocalciuric hypercalcemia
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
junctional epidermolysis bullosa
kabuki syndrome
lamellar ichthyosis
legionellosis
liposarcoma
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
neuralgic amyotrophy
pendred syndrome
primary hyperoxaluria type 1
pyruvate dehydrogenase deficiency
scrub typhus
systemic capillary leak syndrome
thoracic outlet syndrome
typhoid
von hippel-lindau disease
wiskott-aldrich syndrome
zellweger syndrome
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